Lower HIV Prevalence Among Asian/Pacific Islander Men Who Have Sex with Men: A Critical Review for Possible Reasons.
Autor: | Chongyi Wei, Raymond, H. Fisher, Wong, Frank Y., Silvestre, Anthony J., Friedman, Mark S., Documét, Patricia, McFarland, Willi, Stall, Ron |
---|---|
Předmět: |
DIAGNOSIS of HIV infections
HIV infection risk factors ACCULTURATION ASIANS BLACK people COUNSELING GAY men HIV HIV infections PSYCHOLOGY information storage & retrieval systems MEDICAL care MEDLINE MULTIVARIATE analysis ONLINE information services RACE RISK-taking behavior SELF-disclosure HUMAN sexuality SEXUALLY transmitted diseases ANAL sex SUBSTANCE abuse COUPLES SOCIOECONOMIC factors UNSAFE sex HIGHLY active antiretroviral therapy HIV seroconversion |
Zdroj: | AIDS & Behavior; Apr2011, Vol. 15 Issue 3, p535-549, 15p, 1 Chart |
Abstrakt: | We conducted a critical literature review for possible reasons that may explain the lower HIV prevalence observed among API MSM compared to MSM of other races/ethnicities. Trends emerging from the literature suggest that traditional individual-level factors-unprotected anal intercourse, substance use, STD prevalence, rates and frequency of HIV testing, and utilization of HIV prevention services-do not appear to be related to the lower HIV prevalence among API MSM. Some evidence suggests that socio-cultural and structural factors might be the more critical forces in determining racial/ethnic disparities of HIV among MSM. For API MSM, these factors include structures of sexual networks, access to and reception of medical care and treatment among HIV-positive MSM, and influences of different levels and types of acculturation. Moreover, emerging risk reduction strategies, such as seroadaptive behaviors, could play a role. Future research should address these factors in intervention design. In addition, better theories of resilience and measurement of strengths and protective factors are needed to enhance the efficacy of HIV interventions. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
Externí odkaz: |